HomeMy WebLinkAboutBldg Permit 05-0884
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. O~o~f}4.- I
qz....z.t,1
(Please type or print and si~ at bottom)
ADDRESS
488ft,
1J/I1NM
e/te eL-6
LEGAL DESCRIPTION (office use only)
LOT / BLOCK3 ADDITION GH/t/yV/ty srlafU3$
r --
Date Rec' d
9w /3. OS-
ZONING (office use)
te/-S"o
PID 25.0 t:i t. 0/3. 0
OWNER J/J "^
(Name) p/.?/JPJ~ /(/O//e~ff Uo/V"~S-~/
(Address) 'I;r~ !3/,4N a4 (! //zc/~ S-C-
(Phone)
BUILDER
(Company Name) ,
(Contact Name) _~~ ~~ ($#-/",/ -t~ J
(Address) - ~ ~~
~'/~- 7rC ~
(Phone)
(Phone)~- ;?~3 -/1/7
.9: r?A'<<L
TYPE OF WORK 0 New Construction ~IDeck DPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition DAlteraQ DUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correcl. I also certifY that I am the owner or authorIzed agent for the
above-menuoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
officIal can revoke this permIt for Jus~lIlthermore, I hereby agree that the City offiCIal or a deSignee may enter upon the property to perform needed inspections
x~~~. a!/"~ _ ~/_"'7.-?/~S-
~ Signature Contractor's License No - / . Date
Permit Valuation ~"q40~ Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ '.'~wl Water Meter Size 5/8"; I";
State Surcharge $ .- )" Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
This .tli}atiO. omes Your Building Permit When Approved
~ Cf-l4~~
Bu dlllg Otlicial Date
Paid
Date
1f,9,~b_
/?/. "1'
#
#
#
#
/J
RecMJt No_
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$
$
$
$
$
$
$
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ThiS IS to certifY that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Date he! duf[pecial~ti~~1:
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.'
'*
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS '-I B6G, (j 14 ,,~'" f!!!:.., r
TYPE OF WORK ~ck.
USE OF BUILDING ~. F-
PERMIT NO. OS: 0884- DATE ISSUED II. /. OS
BUILDER ~,. PHONE # 4!1/). 7kCt:
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL
fr~
1
(' /;L'7 fa;'
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~ff~
~-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
/~~tQ
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~2J;;: L
DATE TIME
(P7A6
7 ,
~
S--j'R'yl
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~RK SA TISFACTO": Y. ~r(U\';EED
o CORRECT ACTION AND PROCEED
o CORRECTWO~/~INSPECTION BEFORE COVERING
Inspector: /" 7 _ ' Owner/Contr:
~ ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
~/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI